Organization
OLA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANAGIOTA SANDOVAL DDS (MANAGER)
(573) 344-6047
Entity
Organization
Contact information
Practice address
1750 HILL PARK DRIVE, JONESBORO, AR 72401
(573) 344-6047
Mailing address
1750 HILL PARK DRIVE, JONESBORO, AR 72401
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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